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Original research article


Treatment of Partial Rotator Cuff Tear with Ultrasound-guided Platelet-rich Plasma

Vetrivel Chezian SengodanSajith KurianRaghupathy Ramasamy
Department of Orthopaedics, Coimbatore Medical College and Hospital, Coimbatore, Tamil Nadu, India
Date of Submission: 16-Apr-2017, Date of Acceptance: 23-Jun-2017, Date of Web Publication: 14-Aug-2017.
Corresponding Author:
Corresponding Author

Vetrivel Chezian Sengodan

E-mail: svcortho@gmail.com

Corresponding Author:
Corresponding Author

Vetrivel Chezian Sengodan

E-mail: svcortho@gmail.com

DOI: 10.4103/jcis.JCIS_26_17 Facebook Twitter Google Linkedin

ABSTRACT



Background: The treatment of symptomatic partial rotator cuff tear has presented substantial challenge to orthopaedic surgeons as it can vary from conservative to surgical repair. Researches have established the infl uence of platelet rich plasma in healing damaged tissue. Currently very few data are available regarding the evidence of clinical and radiological outcome of partial rotator cuff tear treated with ultrasound guided platelet rich plasma injection in English literature.
Materials and Methods: 20 patients with symptomatic partial rotator cuff tears were treated with ultrasound guided platelet rich plasma injection. Before and after the injection of platelet rich plasma scoring was done with visual analogue score, Constant shoulder score, and UCLA shoulder score at 8 weeks and third month. A review ultrasound was performed 8 weeks after platelet rich plasma injection to assess the rotator cuff status.
Results: Our study showed statistically signifi cant improvements in 17 patients in VAS pain score, constant shoulder score and UCLA shoulder score. No signifi cant changes in ROM were noted when matched to the contra-lateral side (P < 0.001) at the 3 month follow-up. The study also showed good healing on radiological evaluation with ultrasonogram 8 weeks after platelet rich plasma injection.
Conclusion: Ultrasound guided platelet rich plasma injection for partial rotator cuff tears is an effective procedure that leads to signifi cant decrease in pain, improvement in shoulder functions, much costeffective and less problematic compared to a surgical treatment.
Keywords: Platelet-rich Plasma, Rotator Cuff, Ultrasonogram

Cited in 6 Documents

  1. Akshay Phadke, Bijayendra Singh and Nik Bakti (2019) Role of platelet rich plasma in rotator cuff tendinopathy- clinical application and review of literature. Journal of Clinical Orthopaedics and Trauma 10(2):244. doi: 10.1016/j.jcot.2018.10.014
  2. О. A. Danilenko, E. R. Makarevich and N. S. Serdiuchenko (2019) Conservative treatment of traumatic injuries of the rotatory-bicepital complex. Vescì Nac. akad. navuk Belarusì, Ser. med. navuk 16(1):7. doi: 10.29235/1814-6023-2019-16-1-7-12
  3. Alexandre Lädermann and Philippe Collin (2018) Rupture partielle de la coiffe des rotateurs postéro-supérieure. Revue du Rhumatisme Monographies 85(2):88. doi: 10.1016/j.monrhu.2017.12.003
  4. Morey J. Kolber, Joseph Purita, Christian Paulus, Jeremy A. Carreno and William J. Hanney (2018) Platelet-Rich Plasma. Strength and Conditioning Journal 40(5):77. doi: 10.1519/SSC.0000000000000402
  5. Ruben Dukan, Aude Bommier, Marc-Antoine Rousseau and Patrick Boyer (2019) Arthroscopic knotless tape bridging with autologous platelet-rich fibrin gel augmentation: functional and structural results. The Physician and Sportsmedicine :1. doi: 10.1080/00913847.2019.1623994
  6. Kevin D. Plancher, Brian McCormick, Jordan Murphy and Stephanie C. Petterson (2019) Rotator Cuff Across the Life Span. (Chapter 40):331. doi: 10.1007/978-3-662-58729-4_40

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